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Related Experiment Videos

Management of grief

G S Devan1

  • 1Institute of Mental Health/Woodbridge Hospital, Singapore.

Singapore Medical Journal
|October 1, 1993
PubMed
Summary
This summary is machine-generated.

This review classifies grief into uncomplicated and complicated types. Complicated grief requires psychiatric intervention, with treatments including psychotherapy and medication for associated mental illness.

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Area of Science:

  • Psychiatry
  • Psychology

Background:

  • Grief is a complex emotional response to loss.
  • Distinguishing between uncomplicated and complicated grief is crucial for effective treatment.

Purpose of the Study:

  • To review the literature on grief, focusing on classification, phenomenology, and management.
  • To highlight the necessity of psychiatric intervention for complicated grief.

Main Methods:

  • Review of psycho-analytic literature.
  • Analysis of recent studies on grief incidence, stages, and developmental aspects.
  • Examination of complicated grief phenomenology, psychopathology, and treatment modalities.

Main Results:

  • Grief is classified into uncomplicated and complicated forms.

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  • Complicated grief presents as delayed, prolonged, or distorted grief.
  • Complicated grief is associated with increased morbidity and mortality, necessitating psychiatric intervention.

    • Conclusions:

    • Psychiatric intervention is essential for complicated grief.
    • Treatment options include grief counseling, psychotherapy (dynamic, group, family), and pharmacotherapy for co-occurring mental illness.
    • Therapeutic approaches emphasize empathy, active listening, affect expression, permission to grieve, and therapist neutrality, with attention to countertransference and supervision.